scholarly journals Restoration of the anterior guide with the fixed prosthesis

2021 ◽  
Vol 8 (2) ◽  
pp. 019-025
Author(s):  
Sihem Hajjaji ◽  
Shayma Karray ◽  
Hayet Hajjemi ◽  
Abdelatif Boughzela
Keyword(s):  
Clinical Case ◽  
Test Phase ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Fixed Prosthesis ◽  
Masticatory System ◽  
Functional Movements ◽  
Mandibular Kinematics

The anterior guide is a functional entity, which is part of the set of guidance provided by the dento-dental joints to the mandibular kinematics, essential for the establishment of harmonious occlusal relations. The anterior guide is a key to understanding and reconstructing the occlusion, playing both a role of protecting the posterior teeth and guiding the functional movements of the mandible. Currently, it also represents an “exteroceptive feeler” creating a cone of access to the occlusion in intercuspation. The restoration of functional and protective anterior guidance is therefore essential for the balance of the masticatory system. This rehabilitation can only be achieved by examining and accurately diagnosing the occlusion relationships maintained by the anterior teeth, associated with a reasoned therapeutic approach validated by a test phase. After a brief description of the anterior function and its role, this article aims to detail, through a clinical case, the procedure to follow for the restoration of a functional anterior guide.

scholarly journals Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Satheesh B. Haralur ◽  
Omar Saeed Al-Shahrani
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Psychological Trauma ◽  
Prosthesis Design ◽  
Mandibular Movement ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance

The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.

scholarly journals Replacement of Missing Anterior Teeth in a Patient with Chronic Mouth Breathing and Tongue Thrusting

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Ali Saad Al-Qahtani
Keyword(s):  
Tooth Loss ◽  
Periodontal Diseases ◽  
Mouth Breathing ◽  
Open Bite ◽  
Nasal Breathing ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Patient Will

The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

scholarly journals Occlusal Rehabilitation of Severely Mutilated Dentition

2015 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Tulika S Khanna ◽  
Sandeep Vivek Gurav
Keyword(s):  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Masticatory Muscle ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Careful Treatment ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Mutilated Dentition ◽  
Crown Lengthening

ABSTRACT Severe caries, attrition, abrasion, erosions of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the occlusal vertical dimension within physiologic limits. Unmethodical alteration of vertical dimension may lead to temporomandibular joint (TMJ) and masticatory muscle problems. Careful treatment planning and stable occlusion are key point of successful treatment. This case report describes the methodical multidisciplinary approach used to treat severely mutilated dentition. How to cite this article Gurav SV, Ram SM, Khanna TS. Occlusal Rehabilitation of Severely Mutilated Dentition. J Contemp Dent 2015;5(1):48-52.

scholarly journals Extreme skeletal open bite correction with vertical elastics

2017 ◽  
Vol 87 (6) ◽  
pp. 911-923 ◽  
Author(s):  
Marco Antonio Cruz-Escalante ◽  
Aron Aliaga-Del Castillo ◽  
Luciano Soldevilla ◽  
Guilherme Janson ◽  
Marilia Yatabe ◽  
...  
Keyword(s):  
Clinical Case ◽  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Posterior Teeth ◽  
Vertical Control ◽  
Posterior Crossbite ◽  
Anterior Teeth ◽  
Skeletal Open Bite

ABSTRACT Severe skeletal open bites may be ideally treated with a combined surgical–orthodontic approach. Alternatively, compensations may be planned to camouflage the malocclusion with orthodontics alone. This case report describes the treatment of an 18-year-old man who presented with a severe open bite involving the anterior and posterior teeth up to the first molars, increased vertical dimension, bilateral Class III molar relationship, bilateral posterior crossbite, dental midline deviation, and absence of the maxillary right canine and the mandibular left first premolar. A treatment plan including the extraction of the mandibular right first premolar and based on uprighting and vertical control of the posterior teeth, combined with extrusion of the anterior teeth using multiloop edgewise archwire mechanics and elastics was chosen. After 6 months of alignment and 2 months of multiloop edgewise archwire mechanics, the open bite was significantly reduced. After 24 months of treatment, anterior teeth extrusion, posterior teeth intrusion, and counterclockwise mandibular rotation were accomplished. Satisfactory improvement of the overbite, overjet, sagittal malocclusion, and facial appearance were achieved. The mechanics used in this clinical case demonstrated good and stable results for open-bite correction at the 2-year posttreatment follow-up.

scholarly journals Full-mouth Rehabilitation of a Patient with Severe Attrition using Hobo Twin-Stage Procedure

2011 ◽  
Vol 1 (3) ◽  
pp. 177-181
Author(s):  
Tapas Gupta ◽  
Ardhendu Banerjee ◽  
Saurav Banerjee ◽  
Nabarun Chakraborty ◽  
Rajwinder Singh
Keyword(s):  
Tooth Wear ◽  
Occlusal Plane ◽  
Clinical Report ◽  
Posterior Teeth ◽  
Severe Wear ◽  
Anterior Teeth ◽  
Occlusal Wear ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Occlusal Disharmony

ABSTRACT Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and esthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of Hobo Twin- stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced VDO.

scholarly journals Aesthetic Treatment In Patient With Fractures Of Maxillary Central Incisor Teeth

DENTA ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 89
Author(s):  
Sinta Puspita
Keyword(s):  
Root Resorption ◽  
Temporomandibular Disorder ◽  
Psychological Trauma ◽  
Mandibular Movement ◽  
Posterior Teeth ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Conservative Faculty ◽  
And Function

<p><strong><em>Background : </em></strong><em>A common objective of anterior restorative dentistry is to establish anterior guidance between the maxillary and mandibular anterior teeth to disclude the posterior teeth during protrusive mandibular movement. Fracture anterior teeth leads to psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. The contour and shape of the labial surface are important for esthetic purpose; the palatal surface morphology is critical for harmonious function. Premature contact in palatal surface restoration is considered as contributing factor to temporomandibular disorder (TMD) symptoms. <strong>Purpose : </strong>Improve aesthetics and function of the patient's anterior teeth. <strong>Case : </strong>Male, 17 years old with poor aesthetic because of fracture anterior teeth 4 years ago. <strong>Case Management : </strong>Root canal treatment, treatment of root resorption, fiber post, custom post, indirect veener, zirconia crown and enameloplasty. <strong>Result : </strong>Better aesthetic and get the optimum function of his teeth.</em></p><p><em> </em></p><p><strong><em>Keyword:</em></strong><em> Aesthetic treatment, anterior fracture, zirconia crown, indirect venner</em></p><p><em> </em></p><p><strong><em>Correspondence:</em></strong><em> </em><em>Sinta Puspita</em><strong>, </strong><em>Department of </em>Conservative, Faculty of  Dentistry, Hang Tuah University, <em>Universitas Hang Tuah, Arif Rahman Hakim 150 Surabaya, </em><em>Phone</em><em> 031-5945864, 5912191,  Email:</em> <em><a href="mailto:[email protected]">[email protected]</a></em></p>

scholarly journals The impact of occlusal support on temporomandibular disorders: a literature review

2021 ◽  
pp. 201010582110237
Author(s):  
Minh Son Nguyen ◽  
Mare Saag ◽  
Triin Jagomägi ◽  
Quang Hai Nguyen ◽  
Ülle Voog-Oras
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Aetiological Factor ◽  
Posterior Teeth ◽  
Number Of Teeth ◽  
Osseous Changes ◽  
Masticatory System ◽  
The Impact

Temporomandibular disorders are a multifactorial disease. Occlusal support and the number of teeth in dentition have significant effects on the masticatory system. The current study aims to review the role of occlusal support in association with findings of temporomandibular disorders. Data sources were PubMed, Web of Science and Google Scholar, with 1411 citations published over the period 1992–2019. The selection criteria stipulated that articles must have reported the association between the number of teeth, occlusal unit, occlusal support and temporomandibular disorders. A total of 15 full-text articles was finally accessed for eligibility in the current review. The studies on temporomandibular disorders were collected from various sources, including articles reporting temporomandibular disorder symptoms ( n=1), temporomandibular disorder signs ( n=5), temporomandibular joint osseous changes ( n=1), temporomandibular joint dysfunction using the Helkimo index ( n=2), and temporomandibular disorder classification ( n=6). Of these articles, significant associations were found between: the number of missing teeth and temporomandibular disorders ( n=5); the number of occlusal units and occlusal supports and temporomandibular disorders ( n=3); the position of the lost occlusal units and temporomandibular disorders ( n=1). Loss of the occlusal unit has more impact on temporomandibular disorders than the loss of posterior teeth. The total loss of unilateral occlusal support seems to be an aetiological factor for temporomandibular disorders, and maintenance of balanced posterior occlusal support has a role in the prevention and management of temporomandibular disorders.

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